Active NPI
Carol Anne Renouf, ARNP
- Family Nurse Practitioner
- Windham, NH
National Provider Identifier
1750405742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 016873-23-03
- Practice address
- 63 Range Rd
Windham, NH 03087-2098 - Phone
- (603) 893-4119
- NPI assigned
- Mar 17, 2007
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 016873-23-03 | NH | Primary |
Addresses
Primary practice location
63 Range Rd
Windham, NH 03087-2098
Mailing address
286 Central St
East Hampstead, NH 03826-2440
Phone (603) 382-9394
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30342371 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Joseph Hospital of Nashua NH | Past | Accepting new patients | |
| Greater Hampstead Family Medicine, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Hampstead, NH
- NPI 1740379940
-
dba St Joseph Hospital Urgent Care
- Urgent Care Clinic/Center
- Milford, NH
- NPI 1437758679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1750405742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 CENTRAL ST",
"city": "EAST HAMPSTEAD",
"state": "NH",
"postal_code": "038262440",
"telephone_number": "603-382-9394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 RANGE RD",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030872098",
"telephone_number": "603-893-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENOUF",
"first_name": "CAROL",
"middle_name": "ANNE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-17",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "016873-23-03",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30342371",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Windham, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.